Different Doses of Intraumbilical Oxytocin on the Third Stage of Labor

Abstract

Objective: To compare the dose of oxytocin injected intraumbilicall towards the duration of the third stage, blood loss volume, hemoglobin and hematocrit. Methods: This study is a prospective randomised study with a control. The control group was given an intramuscular injection of 10 IU oxytocin. The intervention of the three groups intraumbilical oxytocin treatment dose of 10 IU, 20 IU and 30 IU diluted in 50 ml of normal saline solution and administered intraumbilically. The sample selection by purposive sampling and the distribution group based on systematic random sampling (10 samples each). Data were taken from the period April 2016-January 2017 with the inclusion and exclusion criteria. Data were analysed using Chi-square, T-test, ANOVA and Post hoc tests. Results: Characteristics study for variables of age, occupation, parity, education, episiotomy and neonates weight showed homogeneous characteristics. The mean duration of the third stage for all groups was between 366.7  159.0 seconds and 440.1  244.99 seconds. While the average number of postpartum haemorrhage for all group 61.894  226.3ml and 309.5  110.26 ml. There were no differences in the dose of oxytocin on the duration of the third stage (p> 0.05) and the amount of bleeding (p> 0.005). There was a difference of haemoglobin between intervention group of oxytocin dose of 10 IU and 30 IU intraumbilical (p = 0.031). There was no difference between the mean hematocrit levels between the groups (p> 0.005). Conclusion: There were no differences in the dose of oxytocin intraumbilical towards the duration of the third stage, the amount of bleeding and hematocrit levels. The decrease of haemoglobin greater in 30 IU intraumbilical significantly. Keywords: duration of the third stage, haemoglobin and hematocrit, oxytocin intraumbilical, the amount of bleeding